Simplified Tax Invoice - ‫ﻓﺎﺗﻮره ﺿﺮﻳﺒﻴﺔ ﻣﺒﺴﻄﺔ‬

‫ﺷﺮﻛﺔ ﺑﺘﺮوﻣﻴﻦ‬
Petromin Corporation
DMM-NFT-MAROIYAH-ERN_1394 DMM-NFT-MAROIYAH-ERN_1394
VAT #300000603210003 DAMMAM 300000603210003 ‫رﻗﻢ اﻟﻀﺮﻳﺒﺔ اﻟﻘﻴﻤﺔ اﻟﻤﻀﺎﻓﺔ‬

Name ‫اﻻﺳﻢ‬ MOHAMMAD AL GHAMDI Year ‫ﺳﻨﺔ اﻟﺼﻨﻊ‬ 2020 Invoice ‫اﻟﻔﺎﺗﻮرة‬ M-1394-10230
Phone ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬ 966593651661 Make ‫اﻟﻄﺮاز‬ HYUNDAI Mileage ‫ﻋﺪاد اﻟﻜﻴﻠﻮﻣﺘﺮت‬ 49670
Plate ‫رﻗﻢ اﻟﻠﻮﺣﺔ‬ 4809RGD Model ‫اﻟﻤﻮدﻳﻞ‬ ACCENT Date ‫اﻟﺘﺎرﻳﺦ‬ 09-10-2022
VIN ‫رﻗﻢ اﻟﺸﺎﺻﻴﻪ‬ MALC741B5LM166010 Engine ‫اﻟﻤﺤﺮك‬ 1.4L Engine 4GL 04-CYLS (ACCENT Time ‫اﻟﻮﻗﺖ‬ 12:17 PM
1)
Checklist ‫ﻗﺎﺋﻤﺔ اﻟﻔﺤﺺ‬ Services Completed ‫اﺗﻤﺎم اﻟﺨﺪﻣﺔ‬
Checklist Item Status/‫اﻟﻮﺿﻊ‬ ‫ﻧﻘﺎط اﻟﻔﺤﺺ‬ Charge Up
‫اﻟﺤﺎﻟﻲ‬ Engine Oil change 24.00
Engine Oil Change Service Yes ‫ﺧﺪﻣﺔ ﻏﻴﺎر اﻟﺰﻳﺖ‬
4.00 PET A-1 SYN 5W30 - 6X4 Petromin A-1 Super Synthetic 5W-30 260.00
Interior Vacuum Cleaning Yes ‫ﺗﻨﻈﻴﻒ داﺧﻞ اﻟﺴﻴﺎرة‬ (6x4 Ltr)A -1 4 × 6( 30 ‫ دﺑﻠﻴﻮ‬5 ‫ﺳﻮﺑﺮ ﺳﻴﻨﺜﻴﺘﻴﻚ‬
‫ﺑﺘﺮوﻣﻴﻦ‬
Air Filter Check & Clean checked /Cleaned ‫ﻓﺤﺺ ﻓﻠﺘﺮ اﻟﻬﻮاء‬ ‫)ﻟﺘﺮ‬
Mighty Oil Filter Service
Battery Health Check up CCA OK ‫ﻓﺤﺺ ﻣﺎء اﻟﺒﻄﺎرﻳﺔ‬ 1.00 M4612 Oil Filter 41.00
Wiper Blades Check checked / found Ok ‫ﻓﺤﺺ ﺟﻠﺪة اﻟﻤﺴﺎﺣﺎت‬ ‫ﻓﻠﺘﺮ زﻳﺖ‬
Engine Flush
Radiator Fluid Check Added /checked ‫ﻓﺤﺺ ﺳﺎﺋﻞ ﻣﺒﺮد اﻟﻤﺤﺮك‬ 1.00 BILSTEIN Petromin Engine Flush Service 380.00
Windshield Water Reservoir Refill Added ‫ﺗﻌﺒﺌﺔ ﻣﺎء اﻟﻤﺴﺎﺣﺎت‬ ‫ ﺑﻠﺴﺘﻴﻦ‬- ‫ﻣﻌﺎﻟﺞ اﻟﻤﺤﺮك‬
F Chargeup 5% Discount on Services -19.00
Tire Condition Check OK ‫ﻓﺤﺺ ﺣﺎﻟﺔ اﻹﻃﺎر‬
Tire Pressure Check & Adjust checked / adjusted ‫ﻓﺤﺺ ﻫﻮاء اﻻﻃﺎرات‬
‫ اﻻﺟﻤﺎﻟﻲ ﻗﺒﻞ اﻟﻀﺮﻳﺒﺔ‬Subtotal before VAT 596.52
Head Lights & Turn Signal Check found Ok ‫ﻓﺤﺺ اﻻﻧﻮار‬ 89.48
‫ اﻟﻀﺮﻳﺒﺔ اﻟﻘﻴﻤﻪ اﻟﻤﻀﺎﻓﻪ‬Tax
Free Air Freshener No, see comments ‫ﻣﻌﻄﺮ ﺟﻮ ﻣﺠﺎﻧﻲ‬
‫ اﻻﺟﻤﺎﻟﻲ‬Total 686.00 SAR
Power Steering Fluid Check Not Applicable ‫ﻓﺤﺺ ﺳﺎﺋﻞ ﻧﻈﺎم اﻟﻤﻘﻮد‬
Transmission Fluid Check No Dipstick / Sealed ‫ﻓﺤﺺ ﺳﺎﺋﻞ ﻧﺎﻗﻞ اﻟﺤﺮﻛﺔ‬
Amount Tendered ‫اﻟﻤﺒﻠﻎ اﻟﻤﺪﻓﻮع‬
Differential Fluid Check Not Applicable ‫اﻟﻔﺮق اﻟﺴﻮاﺋﻞ‬
Chassis Lubrication Sealed ‫ﺗﺸﺤﻴﻢ اﺳﻔﻞ اﻟﺸﺎﺻﻴﻪ‬ 686.00 SAR
Brake Fluid Check & Top Up Level OK ‫ﻓﺤﺺ ﺳﺎﺋﻞ اﻟﻔﺮاﻣﻞ‬ Cash: 1000
Windows Cleaning Yes ‫ﺗﻨﻈﻴﻒ اﻟﺰﺟﺎج‬

Manager ‫اﻟﻤﺪﻳﺮ‬ Courtesy ‫اﻟﻔﺤﺺ اﻟﻨﻬﺎﺋﻲ‬ Change ‫اﻟﺒﺎﻗﻲ‬ 314.00

ACE LEO VERGEL FLORES ACE LEO VERGEL FLORES QUILI Return for Service ‫اﻋﺎدة اﻟﻤﺮﻛﺒﺔ ﻟﻠﺨﺪﻣﺔ‬
QUIL
Upper Tech ‫اﻋﻠﻰ اﻟﻤﺮﻛﺒﺔ‬ Operator Lower Tech ‫اﺳﻔﻞ اﻟﻤﺮﻛﺒﺔ‬
‫ﻋﺎﻣﻞ‬ Next Service Date ‫ﺗﺎﺮﻳﺦ اﻟﺨﺪﻣﺔ اﻟﻘﺎﺪﻣﺔ‬ 09-01-2023
HUSAIN ABDULGANI ABDRAB HUSAIN ABDULGANI ABDRAB ACE LEO VERGEL OR Mileage ‫ﻋﺪﺎد اﻟﻜﻴﻠﻮﻣﺘﺮﺎت‬ 59670 KM
ALRASOL AACE LEO VERGEL ALRAS FLORES QUILIT
FLORES QU Service Remarks ‫ﻣﻼﺣﻈﺎت اﻟﺨﺪﻣﺔ‬

Terms & conditions ‫اﻟﺸﺮﻮط واﻻﺣﻜﺎﻢ‬

Promptly Stop the engine, discontinue operation and contact - ‫ﻳﺠــﺐ إﻳﻘــﺎﻒ اﻟﻤﺤــﺮﻚ ﻋﻨــﺪ ﻣﻼﺣﻈــﺔ ﺗﺴــﺮﺐ اﻟﺰﻳــﺖ أو إﺿــﺎءة ﻣﺆﺷــﺮ‬
Petromin Express when you see oil light comes on OR you notice any ‫ﻣﺴﺘﻮﻰ اﻟﺰﻳﺖ واﻻﺗﺼﺎﻞ ﻓﻮﺮا ﻋﻠﻰ ﺑﺘﺮﻮﻣﻴﻦ اﻛﺴﺒﺮﺲ‬.
fluid leakage. - ‫ﻳﺠــﺐ إﻋــﺎﺪة اﻟﻤﺮﻛﺒــﺔ إﻟــﻰ ﻧﻔــﺲ ﻣﺮﻛــﺰ ﺧﺪﻣــﺔ ﺑﺘﺮﻮﻣﻴــﻦ اﻛﺴــﺒﺮﺲ ﻓــﻲ‬
- In case of any defect after service at Petromin Express, vehicle must ‫ﺣﺎﻟــﺔ وﺟــﻮﺪ أي ﺧﻠــﻞ ﺑﻌــﺪ اﻟﺨﺪﻣــﺔ وذﻟــﻚ ﻗﺒــﻞ اﻟﻜﺸــﻒ ﻋﻠــﻰ اﻟﻤﺮﻛﺒــﺔ‬
be brought to the same Petromin Express Center, before taking it to ‫ وإن‬،‫ ﻳﺨﻠــﻲ ﺗﻤﺎﻣــﺎ ﻣﺴــﺆﻮﻟﻴﺔ ّﻣــﻦ ﻗﺒــﻞ أي ورﺷــﺔ‬،‫ﻋــﺪﻢ اﻻﻟﺘــﺰﺎم ﺑﺬﻟــﻚ‬
any oth-er workshop. Failure to do so will completely release Petromin ‫ﺑﺘﺮﻮﻣﻴﻦ اﻛﺴﺒﺮﺲ ﻣﻦ أي ﻣﻄﺎﻟﺒﺔ‬.
Express from any liability. - ‫ﻳﺠــﺐ إﺑــﻼﻎ ﺑﺘﺮﻮﻣﻴــﻦ اﻛﺴــﺒﺮﺲ ﻋــﻦ أي ﺧﻠــﻞ او ﻋﻄــﻞ ﻧﺎﺗــﺞ ﻋــﻦ‬
- Any defect MUST be reported to Petromin Express within 48 hours ‫ﺧﻼﻞ‬48 ‫ وﻟﻦ ﺗﺘﺤﻤﻞ ﺑﺘﺮﻮﻣﻴﻦ‬.‫اﻟﺨﺪﻣــﺔ ﺳﺎﻋﺔ ﻣﻦ وﻗﺖ ﻓﺎﺗﻮﺮة اﻟﺨﺪﻣﺔ‬
from the time of the service invoice. Petromin will not be liable for any ‫ﻣﺪﺔ أﻗﺼﺎﻫﺎ اﻛﺴﺒﺮﺲ أي ﻣﺴﺆﻮﻟﻴﺔ ﺑﻌﺪ ﻣﺮﻮر ﻫﺬﻪ اﻟﻤﺪﺔ‬.
defect occurs after expiry of this period. - ‫ﻳﺮﺟــﻰ ﻣﻼﺣﻈــﺔ أﻧــﻪ ﻓــﻲ ﺣــﺎﻞ ﻋــﺪﻢ إﻧﺠــﺎﺰ أي ﻣــﻦ ﻧﻘــﺎﻂ ﻓﺤــﺺ‬
- Please note that while servicing your car, if any item mentioned on ‫ﻳﺤــﻖ‬ (‫اﻟﺪﻮرﻳــﺔ‬ ‫اﻟﺒﺎﻗــﺎﺖ )اﻟﺬﻫﺒﻴــﺔ أو اﻟﻔﻀﻴــﺔ أو اﻟﺒﻼﺗﻴﻨﻴــﻮﻢ أو اﻟﺼﻴﺎﻧــﺔ‬
the invoice is missing, in either (Sil-ver, Gold, Platinum or PMS) ‫اﻟﺤﺼﻮﻞ ﻋﻠﻰ ﺧﺪﻣﺔ ﻧﻘﺎﻂ‬48 ‫ﻟﻠﻌﻤﻴــﻞ ﺳﺎﻋﺔ ﻣﻦ ﺗﺎﺮﻳﺦ اﻟﻔﺎﺗﻮﺮة ﻋﻦ‬
Service packages that item can be re-availed within 48 hours from ‫ﻣــﻊ‬ ‫ﺑﺎﻟﻤﻤﻠﻜــﺔ‬ ‫اﻟﻔﺤﺺ ﺧﻼﻞ ﻃﺮﻳــﻖ اﻟﻔــﺮﻊ ﻧﻔﺴــﻪ أو أي ﻣــﻦ ﻓﺮﻮﻋﻨــﺎ‬
date of invoice at any PE Center in KSA by producing the original ‫ﺿــﺮﻮرة إﺑــﺮﺎز اﻟﻔﺎﺗــﻮﺮة ا‬À‫ إن أي ﺧﻠــﻞ ﻓــﻲ إﺗﺒــﺎﻊ اﻟﺸــﺮﻮط‬- .‫ﺻﻠﻴﺔ‬
invoice.
- Failure to comply with any of these conditions OR refusal to sign this ‫وا‬ ‫اﻟﺸــﺮﻮط‬ ‫اﻟﻤﺬﻛــﻮﺮة أﻋــﻼﻪ أو رﻓــﺾ ﻟﻠﺘﻮﻗﻴــﻊ ﻋﻠــﻰ ﻫــﺬﻪ‬À‫ﺣــﻜﺎﻢ‬
invoice will release and exempt Petromin Express against any liability ‫ ﺳــﻮﻒ ﻳﻌﻔــﻲ ﺑﺘﺮﻮﻣﻴــﻦ اﻛﺴــﺒﺮﺲ ﻣــﻦ أي ﻣﺴﺆﻮﻟﻴﺔ ﻗﺎﻧﻮﻧﻴﺔ أو‬،‫ادﻧــﺎﻫ‬
or other claims. ‫ا‬ ‫ﺳﻤﺢ‬ ‫ﻻ‬ ‫ﺗﻨﺸﺄ‬ ‫أي ﻣﻄﺎﻟﺒﺔ ﻗﺪ‬Â. - ‫ﺑﻬــﺬﺎ أوﻛــﺪ ﺑــﺄﻦ ﺧﺪﻣــﺔ ﺻﻴﺎﻧــﺔ‬
‫اﻟﺴــﻴﺎﺮة ﺗﻤــﺖ ﻋﻠــﻰ أﻛﻤــﻞ وﺟــﻪ وﺗــﻢ ﺗﺴﻠﻴﻤﻲ اﻟﺴﻴﺎﺮة ﺑﺄﺪاء ﻋﺎﻟﻲ وﻗﺪ‬
- I hereby confirm that the services as requested by me has been
‫ ﻋــﻼﻮة ﻋﻠــﻰ ﻣــﺎ‬.)‫ راﺿــﻲ ﻋــﻦ اﻟﺼﻴﺎﻧــﺔ‬- ‫ﻻﻗﺖ ﻣﻨﺎ ﻛﻞ اﻟﺮﺿﻰ واﻟﻘﺒﻮﻞ‬
delivered /Completed /Performed on my vehicle according to my full
‫ﺳــﺒﻖ إﻗــﺮ أﻧــﺎ اﻟﻤﻮﻗــﻊ أدﻧــﺎﻪ ﺑــﺎﻦ ﺑﻴﺎﻧﺎﺖ اﻻﺗﺼﺎﻞ وﻣﻌﻠﻮﻣﺎﺖ اﻟﻤﺮﻛﺒﺔ‬
acceptation & satis-faction. Furthermore I confirmed that contact
‫ﺻﺤﻴﺤﺔ‬
details and vehicle information is correct.
-Tire warranty is with the Tire Manufacturer. ‫ﺿﻤﺎن اﻻﻃﺎرات ﻣﻦ ﻗﺒﻞ اﻟﻮﻛﻴﻞ‬-
-Alignment service warranty is for One Week from the date of service. ‫اﻟﻔﺎﺗﻮﺮة‬ ‫ﺗﺎﺮﻳﺦ‬ ‫ﻣﻦ‬ ‫واﺣﺪ‬ ‫أﺳﺒﻮﻊ‬ ‫ﻟﻤﺪﺔ‬ ‫اﻟﻤﻴﺰﺎن‬ ‫ﺧﺪﻣﺔ‬ ‫ﺿﻤﺎﻦ‬.

I agree to collect the balance quantity of Engine oil against the oil ‫أرﻏﺐ ﺑﺈﺳﺘﻼﻢ ﻛﻤﻴﺔ زﻳﺖ اﻟﻤﺤﺮﻚ اﻟﻤﺘﺒﻘﻴﺔ إن وﺟﺪﺖ ﻣﻘﺎﺑﻞ ﻣﺎﺗﻢ‬
charged during the service done on my vehicle: ‫ذﻛﺮﻪ ﻓﻲ اﻟﻔﺎﺗﻮﺮة ﺧﻼﻞ ﺧﺪﻣﺔ ﺳﻴﺎﺮﺗﻲ‬
I do not want to collect the balance quantity against Engine oil ‫ﻻ أرﻏﺐ ﺑﺈﺳﺘﻼﻢ ﻛﻤﻴﺔ زﻳﺖ اﻟﻤﺤﺮﻚ اﻟﻤﺘﺒﻘﻴﺔ إن وﺟﺪﺖ ﻣﻘﺎﺑﻞ ﻣﺎﺗﻢ‬
charged during the service done on my vehicle ‫ذﻛﺮﻪ ﻓﻲ اﻟﻔﺎﺗﻮﺮة ﺧﻼﻞ ﺧﺪﻣﺔ ﺳﻴﺎﺮﺗﻲ‬
Station Manager Signature /‫ﺗﻮﻗﻴﻊ ﻣﺪﻳﺮ اﻟﻤﺤﻄﺔ‬ Customer Signature /‫ﺗﻮﻗﻴﻊ اﻟﻌﻤﻴﻞ‬

‫ﺷﻜﺮا ﻻﺧﺘﻴﺎرك ﺑﺘﺮوﻣﻴﻦ اﻛﺴﺒﺮس‬ Thanks for choosing Petromin Express

. ‫ ﺗﻮﺎﺻﻠﻮﺎ ﻣﻌﻨﺎ ﻋﻦ ﻃﺮﻳﻖ اﺣﺪﻰ اﻟﻘﻨﻮﺎت‬،‫ﻓﻲ ﺣﺎﻞ وﺟﻮﺪ أي ﻣﻼﺣﻈﺎﺖ ﻋﻠﻰ اﻟﺨﺪﻣﺔ اﻟﻤﻘﺪﻣﺔ‬ if there are any comments on the service provided Please contact us through one of the following channels .
‫اﻟﺘﺎﻟﻴﺔ‬
Customer Service Call center 8004420020 : ‫ ﻣﺮﻛﺰ ﺧﺪﻣﺔ اﻟﻌﻤﻼء‬CS@Petromin.com
‫ اﺷﺘﺮاك‬.4030005930 : ‫ت‬.‫ س‬.)+ 966 12 (215 7111 :‫) ﻓﺎﻛﺲ‬+ 966 12 (215 7000 :‫ ﻫﺎﺗﻒ‬.‫ اﻟﻤﻤﻠﻜﺔ اﻟﻌﺮﺑﻴﺔ اﻟﺴﻌﻮدﻳﺔ‬21431 :‫ ﺟﺪة‬.1432 :.‫ب‬.‫ص‬
19654 ‫رﻗﻢ‬
P.O. Box: 1432, Jeddah: 21431, Kingdom of Saudi Arabia, Tel: (+966 12) 215 7000, Fax: (+966 12) 215 7111. C.R: 4030005930, Membership 19654